ENS Event | |
|---|---|
17:55 Aug 10, 2021 | |
| Title | Medical Event (Incorrect Dosage) |
| Event Description | The following report was received from the Utah Department of Environmental Quality, Division of Waste Management and Radiation Control (the Division) via email:
The Division was notified of the medical event about 1155 MDT on August 10, 2021, by the licensee's Radiation Safety Officer. At about 0730 a male patient reported to Intermountain Medical Center to have a nuclear medicine scan conducted. The scheduled scan was to use 10 milliCi of Fluorodeoxyglucose (FDG) (F-18). The Technician administered the dosage to the patient and then realized he had administered the wrong dosage. The dosage administered was actually 104 milliCi of FDG which is much greater than the 10 milliCi that was prescribed. The licensee is in the process of notifying the referring physician and the patient of the medical event. The licensee is aware of the 15 day requirement for a written report. The Division will investigate this matter and update the record upon completion of the investigation. A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient. |
| Where | |
|---|---|
| Ihc Health Services (Intermountain Medical Center) Murray, Utah (NRC Region 4) | |
| License number: | UT 210003 |
| Organization: | Utah Division Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+-0.73 h-0.0304 days <br />-0.00435 weeks <br />-9.99954e-4 months <br />) | |
| Opened: | Gwyn Galloway 17:11 Aug 10, 2021 |
| NRC Officer: | Kerby Scales |
| Last Updated: | Aug 10, 2021 |
| 55402 - NRC Website | |
Ihc Health Services (Intermountain Medical Center) with Agreement State | |
WEEKMONTHYEARENS 554022021-08-10T17:55:00010 August 2021 17:55:00
[Table view]Agreement State Medical Event (Incorrect Dosage) 2021-08-10T17:55:00 | |